
<p>Development questionnaire </p><p>At no time should you consider accessing Network Rail property without first contacting the appropriate Asset Protection Project Manager. The railway is an extremely hazardous environment and your Health, Safety and Welfare is important to us.</p><p>Please complete as much information as possible, however headings marked with an asterisk (*) are considered essential.</p><p>Once completed please forward to the relevant address on the route map. </p><p>Date</p><p>Your contact details Name / company name *</p><p>Contact</p><p>Address</p><p>Telephone *</p><p>Fax</p><p>Email</p><p>You clients contact details Name / company name</p><p>Contact</p><p>Address</p><p>Telephone</p><p>Fax</p><p>Email Consultants/contractors contact Details</p><p>Name / company name</p><p>Contact</p><p>Address</p><p>Telephone</p><p>Fax</p><p>Email</p><p>*Location of the works Building name</p><p>Street name</p><p>Town</p><p>County</p><p>Postcode</p><p>Grid reference *Brief outline of scheme To include whether the works are for residential, business, industrial or change of use.</p><p>Is demolition of existing buildings proposed</p><p>What types of foundations are proposed? (please provide details of any ground remediation (improvement) works)</p><p>Do you have boundary issues or concerns?</p><p>Are either mobile of static cranes proposed on this site?</p><p>Are drawings available for Network Rail review? (Please provide copies of General Arrangement, Elevations, Drainage, Foundation Layout, Site levels.)</p><p>Are there any restrictive covenants in favour of Network Rail in relation to this site?</p><p>Confirm if there are any wayleaves, easements, and licences that relate to the site?</p><p>Clarify if the Party Wall Act 1996 applies to the positioning and nature of your works?</p><p>*Programmed start on site date:</p><p>Programmed finish on site date:</p><p>Other key dates:</p><p>*Do you require access to Network Rail land? Do your works require road closures?</p><p>Town and Country Planning Authority reference and date approval granted</p><p>Have you applied for buried services?</p><p>Do you have a customer relations reference number?</p><p>Please supply photos of the site if available to help us understand any particular site constraints, issues hazards that are present.</p><p>Are the works adjacent to a level crossing or tunnel?</p><p>Additional comments:</p>
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